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儿童和青少年抑郁症的社会神经科学

Social neuroscience of child and adolescent depression.

作者信息

Miller Anita

机构信息

Department of Psychology, Skidmore College, Saratoga Springs, New York, USA.

出版信息

Brain Cogn. 2007 Oct;65(1):47-68. doi: 10.1016/j.bandc.2006.02.008. Epub 2007 Jul 10.

Abstract

The social neuroscience of child and adolescent depression is inherently multidisciplinary. Depressive disorders beginning early in life can have serious developmental and functional consequences. Psychopathology research has described depression's defining clinical and contextual features, and intervention research has characterized its response to treatment and prevention programs. Neuroendocrine, electrophysiological, and neuroimaging studies have identified core neurobiological aspects of early-onset mood disorders. These areas are reviewed using a developmental social neuroscience perspective for integrating disparate observations. The paper introduces a dynamic adaptive systems framework, and it discusses hedonic capacity, stress sensitivity, ruminative self-focus, and attentional impairments as fundamental components of mood disorders.

摘要

儿童和青少年抑郁症的社会神经科学本质上是多学科的。早年开始的抑郁症可能会产生严重的发育和功能后果。精神病理学研究描述了抑郁症的典型临床和背景特征,干预研究则明确了其对治疗和预防项目的反应特点。神经内分泌、电生理和神经影像学研究已经确定了早发性情绪障碍的核心神经生物学方面。本文从发展社会神经科学的角度对这些领域进行综述,以整合不同的观察结果。文章引入了一个动态适应性系统框架,并将享乐能力、压力敏感性、反刍性自我关注和注意力损伤作为情绪障碍的基本组成部分进行了讨论。

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